Revised February 15, 2022
VII.i.1.A.1.aDefinition: Relationship
The term relationship refers to an individual’s legal status with respect to the Veteran. Examples:
- Can the individual be recognized as the Veteran’s child?
- Have the individual and the Veteran fulfilled the requirements for a legal marriage?
References: For a definition of
- spouse, see 38 CFR 3.50
- child, see 38 CFR 3.57, and
- parent, see 38 CFR 3.59.
VII.i.1.A.1.bDefinition: Dependency
The term dependency refers to the question of whether or not an individual relies on a Veteran for financial support.
VII.i.1.A.1.cImportance of Establishing the Relationship of an Individual to a Veteran
Establishing an individual’s relationship to a Veteran is critical because
- the Department of Veterans Affairs (VA) may pay additional disability compensation to a Veteran for dependent(s) if the Veteran’s service-connected (SC) disability rating is at least 30 percent
- VA may pay additional Dependency and Indemnity Compensation (DIC) to a surviving spouse for children that VA recognizes as a child of the Veteran on whose death the DIC award is based
- the existence and the amount of income of dependents is a factor in determining entitlement in both Veterans Pension and Survivors Pension cases, and
- a claimant’s entitlement to survivors benefits, such as DIC and Survivors Pension, is contingent on the relationship of the claimant to the Veteran on whose death the benefit is based.
References: For more information on
- claims processor responsibilities
- when promulgating a rating decision that assigns an overall SC disability rating of at least 30 percent to a Veteran whose overall SC disability rating prior to the rating decision was less than 30 percent, see M21-1, Part VII, Subpart i, 1.C.1.b, and
- each time the rating activity assigns an overall SC disability rating of at least 30 percent, see M21-1, Part VII, Subpart i, 1.C.1.e
- establishing the existence of a familial relationship between a Veteran and another individual, see 38 CFR 3.50 through 38 CFR 3.60
- the payment of additional
- disability compensation for dependents, see 38 CFR 3.4(b)(2), and
- DIC for children of a deceased Veteran, see 38 CFR 3.10(e)(1), and
- establishing an individual as a Veteran’s parent, see M21-1, Part VII, Subpart i, 4.A.
VII.i.1.A.1.dCircumstances Under Which VA Assumes Financial Dependency Exists
Once VA determines a marital relationship exists between a Veteran and spouse, VA assumes the spouse is financially dependent on the Veteran. Similarly, once VA establishes that an individual is the child of a Veteran, VA assumes the child is financially dependent on the Veteran. VA does not require proof of financial dependency under either of these circumstances. References: For more information on
- determining whether a marital relationship exists, see
- M21-1, Part VII, Subpart i, 2.A
- 38 CFR 3.50 (spouse and surviving spouse)
- 38 CFR 3.52 (marriages deemed valid)
- 38 CFR 3.53 (continuous cohabitation)
- 38 CFR 3.54 (marriage dates), and
- 38 CFR 3.55 (reinstatement of a surviving spouse’s eligibility based on termination of a marital relationship), and
- determining whether an individual is the child of a Veteran, see
- M21-1, Part VII, Subpart i, 3.A
- 38 CFR 3.57, and
- 38 CFR 3.58 (child adopted out of the family).
VII.i.1.A.1.eCircumstances Under Which VA Requires Proof of Financial Dependency
VA requires proof of financial dependency in order to pay
- additional compensation for a parent to a Veteran whose SC disability rating is at least 30-percent, or
- DIC to the parent of a Veteran whose death was service-related.
References: For more information on determining whether
- an individual is the parent of a Veteran, see
- M21-1, Part VII, Subpart i, 4.A, and
- 38 CFR 3.59, and
- the parent of a Veteran is financially dependent on the Veteran, see M21-1, Part VII, Subpart i, 4.B.
VII.i.1.A.1.fConsidering the Existence of Dependents When Determining Entitlement to Disability and Survivors Benefits
The existence of dependents is not a factor in determining entitlement to disability compensation or DIC. However, the existence of dependents is a factor in determining entitlement to pension. Persons who claim entitlement to income-based benefits must report all dependents and dependent's income and net worth. When VA receives a claim for pension, claims processors must follow the instructions in M21-1, Part VII, Subpart i, 1.A.6, during the initial development phase , if any of the following is missing:
- information regarding the number of dependents a claimant has
- evidence or information required to establish the existence of a familial relationship between a Veteran and a dependent(s), and/or
- each dependent’s income and net worth.
Reference: For more information on considering the income of dependents when determining entitlement to pension, see
- 38 CFR 3.23(d)(4), and
- 38 CFR 3.24.
VII.i.1.A.1.gHandling Claims for Benefits for or From an Individual That VA Does Not Recognize as a Veteran’s Dependent
If a claimant lacks status as the dependent of a Veteran for VA purposes , deny the claim without further development. Similarly, deny a claim from a Veteran or surviving spouse for additional benefits for an individual whom VA cannot recognize as the dependent of a Veteran for VA purposes. Examples:
- A deceased Veteran’s grandchild, whom the Veteran never adopted, claims entitlement to VA survivor’s benefits.
- A Veteran claims entitlement to additional benefits for a foster child.
Reference: For more information on individuals whom VA may recognize as a Veteran’s dependent, see
- M21-1, Part VII, Subpart i, 1.A.1.a, and
- O’Brien v. Wilkie, 30 Vet.App. 21 (2018).
VII.i.1.A.1.hInterplay Between Federal, State, and Foreign Laws
VA benefit programs are authorized by Federal law (38 U.S.C.) that determines who is and who is not eligible for benefits. Some of the rules concerning VA’s recognition of a familial relationship between a Veteran and another individual are unique to VA benefit programs. Example: The continuous cohabitation requirement of 38 CFR 3.53. In many instances, VA incorporates State law or the law of foreign countries by reference. When making decisions on the issue of relationship, State law is relevant only to the extent that it is incorporated by reference into the body of Federal law governing VA eligibility determinations. Example: 38 CFR 3.1(j) refers to local law for determining the basic validity of a marriage. Note: When a determination regarding the validity of a marriage depends on whether a prior marriage ended before the date of the current marriage, see the document titled Divorce Effective Date Table on Compensation Service’s Job Aids webpage.
VII.i.1.A.1.iDuty of Claimants to Report Familial Relationships and Family Composition
Family composition is determined objectively under applicable VA regulations. Claimants must accurately report familial relationships and family compositions when requested to do so by VA. Claimants seeking entitlement to disability compensation or DIC have the option of claiming or not claiming dependents. However, claimants seeking entitlement to any of VA’s income-based benefits must
- report all dependents and dependent's income, and
- not manipulate family composition to maximize benefits.
Example: Failure of a pension claimant to report a spouse with income or substantial assets would be considered manipulation to maximize benefits.
2Burden of Proof and the Weighing of Evidence
This topic contains information on a claimant’s burden of proof and the weighing of evidence, including
- responsibilities of VA and claimants for securing evidence
- accepting entries a claimant makes on VA Form 21-686c, Application Request to Add and/or Remove Dependents , as proof of an event, and
- evaluating and weighing evidence.
Revised December 15, 2017
VII.i.1.A.2.aResponsibilities of VA and Claimants for Securing Evidence
VA must make reasonable efforts to assist a claimant in securing evidence, but the claimant always has the initial burden of proof. This means that unless the claimant furnishes evidence on each element needed to establish the point at issue, VA must deny the claim. Example: A claimant alleging the existence of a deemed-valid marriage must meet the requirements in 38 CFR 3.52 to establish the marriage as valid for VA purposes. If no evidence is provided showing the claimant meets those requirements, VA must deny the claim. Nevertheless, VA may, because of its duty to assist, provide reasonable assistance to secure the evidence. References: For more information on
- VA’s duty to assist in developing claims, see
- the requirements for establishing a deemed-valid marriage, see M21-1, Part VII, Subpart i, 2.D.7-10.
VII.i.1.A.2.bAccepting Entries a Claimant Makes on VA Form 21-686c as Proof of an Event
Except as noted in 38 CFR 3.204(a)(2), VA will accept the entries a claimant or beneficiary makes on VA Form 21-686c, Application Request to Add and/or Remove Dependents, as sufficient proof of
- marriage
- dissolution of a marriage
- birth of a child
- introduction of a stepchild into a Veteran’s family, or
- death of a dependent.
Notes:
- Unless there are inconsistencies in a claimant’s statement, the policy described in the above paragraph allows regional offices (ROs) to establish the existence of a familial relationship between a Veteran and another individual without reviewing the claims folder.
- It is appropriate to request further evidence from a claimant if there is substantial reason to challenge the entries on VA Form 21-686c. (A substantial reason is something beyond mere suspicion or doubt.)
VII.i.1.A.2.cEvaluating and Weighing Evidence
Once all procurable evidence is of record, claims processors must
- evaluate the competency, credibility, and persuasiveness of the evidence, and
- determine if the competent and credible evidence in favor of the claimant’s position is of equal or greater weight than the evidence to the contrary.
Use the table below to determine whether or not a point is established.
| If scales weighing the evidence … | Then … |
|---|---|
tip in favor of the claimant | the point is established. |
tip against the claimant | the point is not established. |
are approximately balanced | resolve reasonable doubt in favor of the claimant. Reference: For more information on resolving reasonable doubt in a claimant’s favor, see |
Reference: For more information on adding a dependent to the award of a Veteran entitled to disability compensation, see M21-1, Part VII, Subpart i, 1.C.1 and 2.
3Jurisdiction Over Relationship Determinations
This topic explains who has jurisdiction over relationship determinations, including
- jurisdiction over questions involving facts
- who has the authority to resolve issues involving relationship and dependency
- when administrative decisions are required
- when ROs must request an opinion from District Counsel, and
- procedure for submitting a request for an opinion to District Counsel.
Revised August 29, 2025
VII.i.1.A.3.aJurisdiction Over Questions Involving Facts
The authorization activity has exclusive jurisdiction over questions involving facts of relationship or dependency. Questions of fact differ from questions requiring the interpretation of law. Example: The issue of whether Bob was below the age of majority when married to Linda is a question of fact. The issue of whether Bob being underage renders the marriage void is a question of law.
VII.i.1.A.3.bWho Has the Authority to Resolve Issues Involving Relationship and Dependency
The authorization activity has the authority to resolve issues involving relationship and dependency without District Counsel input if
- there is no doubt as to the legal effect of the facts found
- it is apparent that the case in question is identical to an existing District Counsel or Office of General Counsel (OGC) opinion, or
- the case in question is not identical, but the facts and questions of law involved are substantially the same with respect to material facts and controlling legal principles as an existing District Counsel or OGC opinion.
VII.i.1.A.3.cWhen Administrative Decisions Are Required
The table below lists issues involving relationship or dependency that require resolution through an administrative decision.
| Issues Requiring an Administrative Decision | Additional Information |
|---|---|
Deemed valid marriage. | |
Deemed valid common law marriage. | |
Continuous cohabitation cannot be established. |
|
Fraudulent annulment. |
|
Parental relationship between a Veteran and an adopted child cannot be established. | |
Validity of an adoption decree is questionable. | |
Parental relationship between a Veteran and a stepchild cannot be established. | No administration decision is required to remove a stepchild from an award because the child’s parent is separated from the Veteran. |
Parental relationship between a Veteran and an illegitimate (biological) child cannot be established. | --- |
Contested claim. | |
A foster parent cannot be established as a Veteran’s parent. | |
Benefits are not payable because of parental abandonment. | |
Financial dependency of parents is established and the parent’s estate exceeds $80,000. |
|
Financial dependency of parents is denied based on net worth. |
__
Notes :
- The preceding list is not all-inclusive. Other issues may arise that require resolution by administrative decision.
- All administrative decisions require two signatures unless otherwise indicated.
Reference: For more information on administrative decisions, see M21-1, Part X, Subpart v, 1.C.1.
VII.i.1.A.3.dWhen ROs Must Request an Opinion From District Counsel
The table below contains a description of situations in which ROs must request an opinion from District Counsel.
| Situations Requiring a District Counsel Opinion | Reference |
|---|---|
A claimant alleges a marriage is void. | |
There is a question as to the validity of a second marriage, such as whether a common law marriage automatically arises if an individual was previously married and the spouse dies. | |
There is a question as to the validity of a
| |
There is a question concerning the validity of a divorce in cases in which a surviving spouse attempts to establish entitlement based on a court decree setting aside or vacating the divorce. | |
There is a question as to whether the length of a fetus’s gestation constitutes a birth under the law of the jurisdiction in which the fetus was delivered. | |
There are questions as to the legal effect of an adoptive placement agreement or interlocutory adoption decree or order. | |
It becomes necessary to determine whether the child referenced in the scenarios below is a child for VA purposes. Scenario #1:
Scenario #2:
|
VII.i.1.A.3.eProcedure for Submitting a Request for an Opinion to District Counsel
The table below contains instructions for submitting a request for an opinion to District Counsel.
| Step | Action |
|---|---|
| 1 | Completely develop for pertinent evidence surrounding the issue. Note: This includes performing any necessary field examinations. |
| 2 | Prepare a request for an opinion in memorandum format, setting forth the question together with a statement of facts.Reference : For an example of a memorandum format, see M21-1, Part X, Subpart v, 1.A.1.h. |
| 3 | Download relevant documents from the claimant’s electronic claims folder (eFolder). |
| 4 | E-mail the documents, along with the request for an opinion, to the District Counsel office having jurisdiction over the geographical area where the claimant resides.Exception: The Manila RO submits requests for legal opinions to OGC. Because OGC has access to eFolders, there is no need to download and e-mail documents from the eFolder to OGC. Reference: For more information on District Counsel office jurisdiction and contacting a District Counsel office, see VA Law—Offices of Chief Counsel in the Districts. |
4Handling Notices and Claims From Beneficiaries and Claimants Regarding Dependents
This topic contains instructions for handling notices and claims from beneficiaries and claimants regarding dependents, including
- forms claimants must use to initiate the process of adding a dependent
- controlling claims for additional compensation for a dependent
- claims from Veterans with an overall disability rating that is less than 30 percent
- handling a form that contains conflicting information
- incomplete forms and claims requiring additional evidence/information
- action to take upon receipt of a request to add a dependent that was not submitted on a prescribed form
- notification from a beneficiary that will result in removal of a dependent from the beneficiary’s award
- possible retroactive restoration of benefits
- acceptability of VA Form 21-686c from a VA-recognized representative, and
- acceptability of a VA Form 21-686c or VA Form 21-674, Request for Approval of School Attendance , that an RO or call center employee completes and signs.
Revised February 15, 2022
VII.i.1.A.4.aForms Claimants Must Use to Initiate the Process of Adding a Dependent
Effective March 24, 2015, a claimant must submit VA Form 21-686c or one of the prescribed forms listed in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, to initiate the process of adding a dependent to the award. Follow the instructions in M21-1, Part VII, Subpart i, 1.A.4.f if a claimant submits a request to add a dependent using anything other than a prescribed form.References: For more information on
- the authority of VA-recognized representatives to submit VA Form 21-686c on a claimant’s behalf, see M21-1, Part VII, Subpart i, 1.A.4.i, and
- adding a dependent to an award of
- disability compensation, see M21-1, Part VII, Subpart i, 1.C.1 and 2
- pension, see M21-1, Part IX, Subpart iii, 1.F.1 and 2, and
- DIC, see M21-1, Part XII, Subpart i, 3.A.
VII.i.1.A.4.bControlling Claims for Additional Compensation for a Dependent
When VA receives one of the prescribed forms listed in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, that is substantially complete, follow the instructions in M21-1, Part III, Subpart i, 2.F.2.a, for adding d ependency claim for [insert name of dependent] as a contention for each dependent the Veteran is claiming. Note: When adding d ependency _claim for [insert name of dependent] _as a contention, select No in the MEDICAL field, and select the Administrative Issue option from the drop-down menu next to the CLASSIFICATION field. Follow the additional instructions in the table below when VA receives a claim for additional compensation for a dependent(s) in conjunction with or while a claim for service connection (SC) and/or a higher disability rating is pending.
| If VA receives a claim for additional compensation for a dependent ... | Then ... |
|---|---|
in conjunction with or while an original claim for SC is pending | Do not establish an end product (EP) 130. Exception: Claims processors may establish an EP 130 while an original claim for SC is pending if
|
in conjunction with or while a non-original claim for disability compensation is pending |
|
References: For more information on
-
handling forms that are not substantially complete, see Steps 2 through 9 of the table in M21-1, Part VII, Subpart i, 1.A.5.d, and
-
the Veterans Benefits Management System (VBMS), see the VBMS Core User Guide.
VII.i.1.A.4.cClaims From Veterans With an Overall Disability Rating That Is Less Than 30 Percent
Follow the instructions in the table below when a Veteran with an overall SC disability rating that is less than 30 percent files a claim for additional compensation for a dependent(s).
| If the Veteran has ... | Then ... |
|---|---|
at least one SC disability | deny the claim administratively |
no SC disabilities | treat the claim as a request for application for disability compensation. |
Exception: Disregard the instructions in the table above if a rating EP is currently pending. In this case, postpone a decision on the claim for additional compensation for a dependent(s) until after the rating activity makes its decision. (The Rules-Based Processing System (RBPS) currently makes no accommodation for this exception.)
References: For more information on
- controlling claims for additional compensation for a dependent(s) when a rating EP is concurrently pending, see M21-1, Part VII, Subpart i, 1.A.4.b
- RBPS, see M21-1, Part VII, Subpart i, 1.D, and
- requests for an application, see M21-1, Part II, Subpart iii, 2.G.1.
VII.i.1.A.4.dHandling a Form That Contains Conflicting Information
If one of the forms in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, is complete but contains information that conflicts with other evidence of record, attempt to obtain clarification by telephone. If efforts to obtain clarification by telephone are unsuccessful ,
- follow the instructions in M21-1, Part III, Subpart i, 2.D.1.e, for documenting the unsuccessful attempt, and
- use the table below to determine the next action(s) to take.
| If … | Then … |
|---|---|
the claimant is a
| follow the procedure described in M21-1, Part VII, Subpart i, 1.A.5.d, starting with Step 13 , treating the conflicting information as missing information or information the claimant failed to provide. |
the claimant is a Veteran or surviving spouse with a running award of pension | follow the procedure described in M21-1, Part VII, Subpart i, 1.A.6.b, starting with Step 5 , treating the conflicting information as missing information or information the claimant failed to provide. |
| follow the instructions in the table in M21-1, Part VII, Subpart i, 1.A.5.e, starting with Step 4 , treating the conflicting information as missing information or information the claimant failed to provide. Exception: If the rating EP, when resolved, could not result in the assignment of a disability rating of at least 30 percent, no further action is needed to clarify the discrepancy. |
| send a letter to the claimant that asks for clarification. Note: If the claimant fails to resolve the conflicting information, follow the instructions in M21-1, Part VII, Subpart i, 1.A.6.e, treating the conflicting information as missing information or information the claimant failed to provide. |
VII.i.1.A.4.eIncomplete Forms and Claims Requiring Additional Evidence/Information
If a claimant submits one of the forms in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, and the form is incomplete or VA requires additional evidence/information in order to grant the claim, follow the instructions in
- M21-1, Part VII, Subpart i, 1.A.5, if the benefit is disability compensation or DIC, or
- M21-1, Part VII, Subpart i, 1.A.6, if the benefit is pension.
VII.i.1.A.4.fAction to Take Upon Receipt of a Request to Add a Dependent That Was Not Submitted on a Prescribed Form
If a claimant submits a request to add a dependent but fails to use one of the forms referenced in M21-1, Part II, Subpart iii, 1.A.1.a, first attempt to contact the claimant by telephone for the purpose of completing VA Form 21-686c and/or VA Form 21-674, Request for Approval of School Attendance, on the claimant’s behalf. If attempts to contact the claimant by telephone are unsuccessful, follow the instructions in M21-1, Part II, Subpart iii, 2.G.1.a. Reference: For more information on the authority of RO employees to complete and sign VA Form 21-686c and VA Form 21-674 on a claimant’s behalf, see M21-1, Part VII, Subpart i, 1.A.4.j.
VII.i.1.A.4.gNotification From a Beneficiary That Will Result in Removal of a Dependent From the Beneficiary’s Award
VA does not require beneficiaries to use a specific form to report a change in a dependent’s status that will result in removal of the dependent from the beneficiary’s award. A beneficiary may report such changes
- in writing
- by telephone or e-mail, or
- through a VA claims-submission service website.
When a beneficiary requests removal of a dependent, the beneficiary must, at a minimum, provide VA with the date (month, day, and year) of the event (such as death or marriage of a child) that necessitates such action. If the beneficiary fails to provide this information, follow the instructions in M21-1, Part VII, Subpart i, 1.C.4.e. Important:
- If a beneficiary does not provide the location of the event that necessitates removal of a dependent from the beneficiary’s award, follow the instructions in M21-1, Part VII, Subpart i, 1.C.4.e.
- VA employees must follow the instructions in M21-1, Part III, Subpart i, 2.D.1.f when obtaining an oral statement (such as a statement obtained by telephone) from a claimant or beneficiary.
- If an employee receives a statement from a beneficiary over the telephone that will reduce the beneficiary’s award, and the employee fails to properly identify the beneficiary, VA must provide the beneficiary due process before reducing the award.
References: For more information on
- due process and the requirement to provide notice of proposed adverse action, see M21-1, Part X, Subpart ii, 3.A, and
- adjusting benefits based on the loss of a dependent, see M21-1, Part VII, Subpart i, 1.C.4.
VII.i.1.A.4.hPossible Retroactive Restoration of Benefits
Per 38 CFR 3.103(b)(4), VA retroactively restores benefits it reduced, discontinued or otherwise adversely affected based on information it obtained orally if, within 30 days of the date VA issued the notice of adverse action, the beneficiary or the fiduciary asserts that the adverse action was based upon information or statements that were
- inaccurate, or
- not provided by the beneficiary or the fiduciary.
Note: Restoration of benefits under 38 CFR 3.103(b)(4) will not preclude VA from taking subsequent action that adversely affects benefits.
VII.i.1.A.4.iAcceptability of VA Form 21-686c From a VA-Recognized Representative
38 CFR 3.160(a)(2) allows VA to accept a VA Form 21-686c that a VA-recognized representative (power of attorney or employee of a Veterans service organization) completes, signs, and submits to VA on a claimant’s behalf as if submitted by the claimant. Important:
- If information a representative provides on VA Form 21-686c will result in a reduction or discontinuance of benefits, VA must
- attempt to contact the beneficiary by telephone to confirm the entries the representative made on the form, and
- document the attempt(s) according to the instructions in M21-1, Part III, Subpart i, 2.D.1.e.
- If attempts to contact the beneficiary by telephone are unsuccessful , VA must provide the beneficiary with notice of proposed adverse action before reducing/discontinuing benefits.
Rationale: The beneficiary’s representative is considered a “third-party” for the purpose of determining whether VA must offer the beneficiary due process before making an adverse adjustment to the award based on information VA obtained from the representative. Reference: For more information on due process and the requirement to issue notice of proposed adverse action, see M21-1, Part X, Subpart ii, 3.A.
VII.i.1.A.4.jAcceptability of a VA Form 21-686c or VA Form 21-674 That an RO or Call Center Employee Completes and Signs
VA authorizes its RO and call center employees to
- complete VA Form 21-686c and VA Form 21-674, using information obtained from a claimant over the telephone, and
- sign the form on the claimant’s behalf.
Note: The form must include clear identification of the employee executing the form through a digital signature or, when electronic submission is not available, a wet signature. Important:
- Treat a VA Form 21-686c or VA Form 21-674 that an RO or call center employee completes and signs on a claimant’s behalf as valid and direct communication from the claimant on a form VA has prescribed for reporting changes in the status or number of the claimant’s dependents.
- Do not treat a VA Form 21-686c or VA Form 21-674 that an RO or call center employee completes and signs on a claimant’s behalf as communication from a third party simply because the claimant did not personally complete and sign the form.
- Call center employee signatures can be identified by the inclusion of either a station designation (such as 325/NCC) or the position title (such as Legal Administrative Specialist or Public Contact Representative) along with the employee's name.
5Determining Whether and How to Undertake Development When the Benefit Is Disability Compensation or DIC
This topic contains information for determining whether and how to undertake development when the benefit is disability compensation or DIC, including
- general information about claims development
- timing of development actions
- additional information/guidance relevant to claims development
- handling an incomplete
- form, and
- form when eligibility for additional benefits for dependents does not currently exist but a rating EP or claim for DIC is pending, and
- handling a September 2018 or later version of VA Form 21-686c that is
- incomplete, and
- incomplete when eligibility for additional benefits for dependents does not currently exist but a rating EP or claim for DIC is pending.
Revised March 13, 2025
VII.i.1.A.5.aGeneral Information About Claims Development
If a claimant submits a September 2018 or later version of VA Form 21-686c and fails to provide with the form all the evidence/information the form specifically instructs the claimant to provide, claims processors may not undertake development to obtain the missing evidence/information. Instead, they must follow the instructions in M21-1, Part VII, Subpart i, 1.A.5.f. The policy expressed in the previous paragraph does not relieve VA of its obligation to assist a claimant in obtaining documentary evidence (when required) of a life event (such as a birth, death, marriage, or divorce) if the claimant indicates an inability to provide it. Follow the instructions in the table below, taking into account the provisions ofM21-1, Part VII, Subpart i, 1.A.5.c, in those rare instances when VA receives a substantially complete September 2018 or later version of VA Form 21-686c , but
- evidence/information required to decide the claim is missing, and
- the form does not specifically instruct the claimant to provide the evidence/information that is missing
| If … | Then … |
|---|---|
the claimant is a
| follow the instructions in the table in M21-1, Part VII, Subpart i, 1.A.5.d, starting with Step 9. |
| follow the instructions in the table in M21-1, Part VII, Subpart i, 1.A.5.e, after following the instructions in Steps 9 and 10 of the table in M21-1, Part VII, Subpart i, 1.A.5.d. Exception: In the situation described under the Important sublabel in Step 9 of the table in M21-1, Part VII, Subpart i, 1.A.5.d, |
| follow the instructions in the table in M21-1, Part III, Subpart iii, 5.A.5.e , after following the instructions in Steps 9 and 10 of the table in M21-1, Part VII, Subpart i, 1.A.5.d. |
| treat the VA Form 21-686c as a request for an application (for disability compensation or DIC) without undertaking any development. |
| deny the claim without undertaking any development. |
References: For more information on
- VA’s obligation to assist claimants in obtaining the documentary evidence described in this block, see M21-1, Part III, Subpart i, 2.A.1.a-e
- handling VA Form 21-686c that are not substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f, see Steps 2 through 8 of the table in M21-1, Part VII, Subpart i, 1.A.5.d, and
- requests for an application, see M21-1, Part II, Subpart iii, 2.G.1.
VII.i.1.A.5.bTiming of Development Actions
To ensure the establishment of benefits in a timely manner, undertake any development necessary to establish entitlement to additional disability compensation or DIC for dependents during the initial development phase of claims processing when
- VA receives a claim for
- SC and/or a higher disability rating from a Veteran, or
- DIC from a surviving spouse
- the claimant reports the existence of one or more dependents on one of the forms listed in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, and
- evidence/information required to establish the Veteran’s relationship to the dependent(s) is not of record.
The upfront development referenced in the above paragraph must be undertaken, even if the claim is from a Veteran whose overall SC disability rating is currently less than 30 percent. Important:
- Disregard the instructions in this block if M21-1, Part VII, Subpart i, 1.A.5.a, prohibits claims processors from undertaking development.
- Follow the instructions in M21-1, Part VII, Subpart i, 1.C.1.d, if
- the claimant is a Veteran who is eligible for additional compensation for dependents by virtue of a rating decision that is awaiting promulgation
- the upfront development described in the opening paragraph of this block was mistakenly overlooked, and
- either of the following is true
- an EP 130 is not pending (because, for example, an EP 010 or 110 is concurrently pending), or
- one of the ROs/restricted access claim centers (RACCs) identified in M21-1, Part II, Subpart ii, 2.B.1.b, is promulgating the rating decision in connection with a special mission or under a special circumstance.
VII.i.1.A.5.cAdditional Information/Guidance Relevant to Claims Development
This block contains additional information/guidance claims processors must consider in those situations in which it is appropriate to undertake development.
- Avoid unnecessary development and piecemeal development, as such actions
- impose an unwarranted burden on claimants, and
- delay claims processing.
- Do not undertake development for information or evidence without first ascertaining whether or not it is already of record.
- As explained in M21-1, Part VII, Subpart i, 1.B.1, every eight years, VA requires Veterans in receipt of disability compensation to verify the status of dependent(s). Accordingly, information that is already of record regarding the status of the dependent(s) of a Veteran is considered valid for the purpose of making entitlement determinations for up to eight years from the date VA received it. (The age of information of record is measured from the date VA received it to the current date.)
VII.i.1.A.5.dHandling an Incomplete Form
The form a claimant uses to initiate the process of adding a dependent to an award must be substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f.A form may be substantially complete but fail to provide all the evidence/information VA requires to add a dependent to a claimant’s award. Follow the instructions in the table below when
- VA receives one of the forms identified in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, that is incomplete in any way , and
- the benefit at issue is disability compensation or DIC.
Exceptions:
- Do not treat a form as incomplete, for the purpose of development, if a claimant fails to provide
- the name of the State in which an event (such as the birth of a child or a marriage) took place, when the city in which the event took place is well known (such as Atlanta or Chicago)
- required information (such as the date of birth) on the form, when the missing information is shown on documentary evidence (such as a birth certificate) the claimant submits in support of the claim or is already of record, or
- the last name of the current spouse.
- If the incomplete form is a September 2018 or later version of VA Form 21-686c,
- disregard the instructions in the table below, and
- follow the instructions in M21-1, Part VII, Subpart i, 1.A.5.f.
- If the form the claimant submitted requires the claimant to provide the number of prior marriages for the spouse, do not treat the form as incomplete if the claimant fails to provide the number, unless
- there is reason to question the number of prior marriages the claimant and the spouse had
- there is a conflict regarding the marital history the claimant reported that having the number of prior marriages would resolve, or
- there is a reasonable indication of fraud or misrepresentation of the relationship in question.
- Follow the instructions in M21-1, Part VII, Subpart i, 1.A.4.c, instead of the instructions in the table below or the instructions in M21-1, Part VII, Subpart i, 1.A.5.f if the claimant is a Veteran whose overall SC disability rating is less than 30 percent and no rating EP is pending.
Important: The instructions in the table below were written based on an assumption the claimant is a Veteran with a running award of disability compensation based on an overall SC disability rating of at least 30 percent or a surviving spouse with a running award of DIC. If this is not the case, but a rating EP or claim for DIC is pending,
- stop at Step 10 of the table below, and
- follow the instructions in M21-1, Part VII, Subpart i, 1.A.5.e.
| Step | Action |
|---|---|
| 1 | Is the form substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f?
|
| 2 | Print the form, selecting Adobe PDF (portable document format) as the printer. |
| 3 | Electronically highlight the blocks on the form that require completion. |
| 4 | Was an EP established based on receipt of the incomplete form?
|
| 5 | Prepare the Incomplete Application letter that
|
| 6 |
|
| 7 | Send the document to the claimant and representative, if applicable, via Package Manager. |
| 8 | Clear the EP 400 and disregard the remaining steps in this table. Take no further action until the claimant returns the completed form. |
| 9 | Establish EP control based on the benefit claimed, unless the appropriate EP is already pending.Important: Disregard the remaining steps in this table and follow the instructions in M21-1, Part VII, Subpart i, 1.C.1.d, if
Reference: For more information on handling a claim for additional compensation for a dependent(s) that is received in conjunction with or while a claim for SC and/or a higher disability rating is pending, see M21-1, Part VII, Subpart i, 1.A.4.b. |
| 10 | Attempt to obtain any missing evidence/information from the claimant by telephone. |
| 11 | Were attempts to obtain the missing evidence/information by telephone successful?
Note:
|
| 12 | Prepare and send a letter to the claimant that asks for the missing evidence/information.Reference: For more information on using VBMS, see the VBMS Core User Guide. |
| 13 | Does sufficient evidence/information exist to allow VA to add to the claimant’s award at least one of the dependents listed on the form?
|
| 14 |
|
| 15 | Notify the claimant of the action taken. |
| 16 |
|
| 17 |
|
Important: If a claimant is eligible for additional benefits for a dependent but VA denies entitlement because the claimant failed to provide the evidence/information VA requested,
- inform the claimant that unless VA receives the evidence/information required to add the dependent within one year of the decision notice, VA cannot pay benefits for the dependent based on the present claim, and
- instruct the claimant to complete VA Form 20-0995, Decision Review Request: Supplemental Claim , and return it with the missing evidence/information.
Reference : For more information on preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
Reference: For more information on handling an incomplete application, see 38 U.S.C. 5102(b) and (c).
VII.i.1.A.5.eHandling an Incomplete Form When Eligibility for Additional Benefits for Dependents Does Not Currently Exist But a Rating EP or Claim for DIC Is Pending
After taking the action described in Step 10 of the step-action table in M21-1, Part VII, Subpart i, 1.A.5.d, follow the instructions in the table below under either of the following situations:
- eligibility for additional compensation for a dependent(s) does not currently exist because the Veteran has no SC disabilities or the overall SC disability rating is less than 30 percent, but a rating EP is pending, or
- entitlement to DIC does not currently exist, but a claim for entitlement is pending.
| Step | Action |
|---|---|
| 1 | Were attempts to obtain missing evidence/information from the claimant by telephone successful?
|
| 2 | If any of the following are true, go to the next step. Otherwise , go to Step 6.
Important : In those rare instances when an EP 130 and an EP 010 or 110 are concurrently pending, go to Step 6 unless one of the ROs/RACCs identified in M21-1, Part II, Subpart ii, 3.1.c, has jurisdiction over the pending claim. |
| 3 | Was the rating EP or DIC claim resolved in the claimant’s favor?
Note: There is no need to address in a decision notice the issue of entitlement to additional benefits for dependents if entitlement to disability compensation or DIC does not exist or the Veteran has no SC disabilities. |
| 4 |
Reference: For more information on using VBMS, see the VBMS Core User Guide. |
| 5 | If any of the following are true, go to Step 8. Otherwise , go to the next step.
Important : In those rare instances when an EP 130 and an EP 010 or 110 are concurrently pending, go to the next step unless one of the ROs/RACCs identified in M21-1, Part II, Subpart ii, 3.1.c, has jurisdiction over the pending claim. |
| 6 | Close the Resolution of Pending Rating EP tracked item associated with the pending EP 130, if it was established. |
| 7 | Take no further action after promulgating the rating decision and notifying the Veteran of its outcome. Important: If the rating activity assigned an overall SC disability rating of at least 30 percent, notify the Veteran in the decision notice that the claim for additional compensation for dependents will be addressed in a separate decision notice. Notes:
|
| 8 | Was the rating EP or DIC claim resolved in the claimant’s favor?
Note: There is no need to address in a decision notice the issue of entitlement to additional benefits for dependents if entitlement to DIC does not exist or the Veteran has no SC disabilities. |
| 9 | Determine whether the claimant is entitled to additional benefits for claimed dependents and, if so, add to the claimant’s award those individuals for whom the evidence/information VA requires to recognize an individual as a dependent exists. Important: If the pending claim is from a
|
| 10 | Notify the claimant of the decisions regarding entitlement to
|
Important: If a claimant is eligible for additional benefits for a dependent but VA denies entitlement because the claimant failed to provide the evidence/information VA requested,
- inform the claimant that unless VA receives the evidence/information required to add the dependent within one year of the decision notice, VA cannot pay benefits for the dependent based on the present claim, and
- instruct the claimant to complete VA Form 20-0995 and return it with the missing evidence/information.
Reference: For more information on preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
VII.i.1.A.5.fHandling a September 2018 or Later Version of VA Form 21-686c That Is Incomplete
Follow the steps in the table below when VA receives a September 2018 or later version of VA Form 21-686c that is incomplete in any way.Important:
- In those rare instances when VA Form 21-686c does not ask the claimant for all the evidence/information VA requires to determine entitlement to additional benefits for dependents, and the claimant fails to submit such evidence/information,
- disregard the instructions in the table below, and
- follow the instructions in the applicable row of the table in M21-1, Part VII, Subpart i, 1.A.5.a.
- The instructions in the table below were written based on an assumption the claimant is a surviving spouse with a running award of DIC or a Veteran with a running award of disability compensation based on an overall SC disability rating of at least 30 percent. If this is not the case, but a claim for DIC or SC and/or a higher disability rating is pending, follow the instructions in M21-1, Part VII, Subpart i, 1.A.5.g.
| Step | Action |
|---|---|
| 1 | Is the form substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f?
|
| 2 | Establish EP control based on the benefit claimed, unless the appropriate EP is already pending.Reference : For more information on handling a claim for additional compensation for a dependent(s) that is received in conjunction with or while a claim for SC and/or a higher disability rating is pending, see M21-1, Part VII, Subpart i, 1.A.4.b. |
| 3 | Does sufficient evidence/information exist to allow VA to add to the claimant’s award at least one of the dependents listed on the form?
Note : When the claimant provides dependency information for multiple dependents, some of which is incomplete and some of which is complete, follow the corresponding steps in this table for each dependent and provide a combined notification. |
| 4 | Deny entitlement to additional benefits for the claimed dependent(s). |
| 5 |
Important:
|
| 6 | Add to the claimant’s award those dependents for whom the claimant has provided all the evidence/information VA requires. |
| 7 | Notify the claimant of the action taken. Important:
|
References: For more information on
- preparing decision notices, see M21-1, Part VI, Subpart i, 1.B, and
- requesting documentary evidence of a life event from custodians of public records, see M21-1, Part III, Subpart i, 2.A.1.e.
VII.i.1.A.5.gHandling a September 2018 or Later Version of VA Form 21-686c That Is Incomplete When Eligibility for Additional Benefits for Dependents Does Not Currently Exist But a Rating EP or Claim for DIC Is Pending
Follow the steps in the table below when
- VA receives a September 2018 or later__version of VA Form 21-686c that is incomplete in any way
- the claimant is a
- Veteran that is not eligible for additional compensation for dependents because
- there are no SC disabilities, or
- the overall SC disability rating is less than 30 percent, or
- surviving spouse that is not currently entitled to DIC, and
- Veteran that is not eligible for additional compensation for dependents because
- a claim for one of the following is currently pending:
- SC and/or a higher disability rating, or
- entitlement to DIC.
Important: In those rare instances when VA Form 21-686c does not ask the claimant for all the evidence/information VA requires to determine entitlement to additional benefits for dependents, and the claimant fails to submit such evidence/information,
- disregard the instructions in the table below, and
- follow the instructions in the applicable row of the table in M21-1, Part VII, Subpart i, 1.A.5.a.
| Step | Action |
|---|---|
| 1 | Is the form substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f?
|
| 2 |
Reference : For more information on handling a claim for additional compensation for a dependent(s) that is received in conjunction with or while a claim for SC and/or a higher disability rating is pending, see M21-1, Part VII, Subpart i, 1.A.4.b. |
| 3 | If any of the following are true, go to the Step 6. Otherwise , go to the next step.
Important : In those rare instances when an EP 130 and an EP 010 or 110 are concurrently pending, go to the next step unless one of the ROs/RACCs identified in M21-1, Part II, Subpart ii, 2.B.1.b, has jurisdiction over the pending claim. |
| 4 | Close the Resolution of Pending Rating EP tracked item if it was established. |
| 5 | Take no further action after promulgating the rating decision and notifying the Veteran of its outcome.Important : If the rating activity assigned an overall SC disability rating of at least 30 percent, notify the Veteran in the decision notice that the claim for additional compensation for dependents will be addressed in a separate decision notice.Notes :
|
| 6 | Was the rating EP/DIC claim resolved in the claimant’s favor?
Note : There is no need to address in the referenced decision notice the issue of entitlement to additional benefits for dependents if entitlement to DIC does not exist or the Veteran has no SC disabilities. |
| 7 | Notify the claimant of the decisions regarding entitlement to
|
Important: If a claimant is eligible for additional benefits for a dependent but VA denies entitlement because the claimant failed to provide the evidence/information VA requires to recognize an individual as a dependent,
- inform the claimant that unless VA receives the missing evidence/information within one year of the decision notice, VA cannot pay benefits for the dependent based on the present claim, and
- instruct the claimant to complete VA Form 20-0995 and return it with the evidence/information that is missing for the remaining dependent(s).
Reference: For more information on preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
6Determining Whether and How to Undertake Development When the Benefit Is Pension
This topic contains information for determining whether and how to undertake development when the benefit is pension, including
- general information about claims development
- handling an incomplete form
- pension, and
- when entitlement to pension has not been established, but a claim is pending, and
- handling a September 2018 or later version of VA Form 21-686c that is
- incomplete, and
- incomplete when basic entitlement to pension exists but no award is running.
Revised March 13, 2025
VII.i.1.A.6.aGeneral Information About Claims Development
If a claimant submits a September 2018 or later version of VA Form 21-686c and fails to provide with the form all the evidence/information the form specifically instructs the claimant to provide, claims processors must follow the instructions in the table in M21-1, Part VII, Subpart ii, 1.A.6.d. Claims processors may not undertake development to obtain the missing evidence/information, except for the telephone development (to obtain income/net worth information) described in
- Step 4 of the table in M21-1, Part VII, Subpart i, 1.A.6.d, and
- Step 2 of the table in M21-1, Part VII, Subpart i, 1.A.6.e.
The policy expressed in the previous paragraph does not relieve VA of its obligation to assist a claimant in obtaining documentary evidence (when required) of a life event (such as a birth, death, marriage, or divorce) if the claimant indicates an inability to provide it. In those rare instances when VA receives a substantially complete September 2018 or later version of VA Form 21-686c , evidence/information required to decide the claim is missing, and the form does not specifically instruct the claimant to provide the evidence/information that is missing, claims processors must follow the instructions in the table below, taking into account the provisions ofM21-1, Part VII, Subpart i, 1.A.5.c.
| If … | Then … |
|---|---|
VA is currently paying pension to the claimant | follow the instructions in the table in M21-1, Part VII, Subpart i, 1.A.6.b, starting with Step 2. |
entitlement to pension has not been established, but a claim for pension is pending | |
| treat the VA Form 21-686c as a request for an application (for pension) without undertaking any development. |
References: For more information on
- VA’s obligation to assist claimants in obtaining the documentary evidence described in this block, see M21-1, Part III, Subpart i, 2.A.1.a-e
- handling VA Forms 21-686c that are not substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f, see Steps 2 through 9 of the table in M21-1, Part VII, Subpart i, 1.A.5.d, and
- requests for an application, see M21-1, Part II, Subpart iii, 2.G.1.
VII.i.1.A.6.bHandling an Incomplete Form – Pension
The form a claimant uses to initiate the process of adding a dependent must be substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f. A form may be substantially complete but fail to provide all the evidence/information VA requires to add a dependent to a claimant’s award. Follow the instructions in the table when
- VA receives one of the forms identified in the last row of the table in M21-1, Part II, Subpart iii, 1.A.1.a, that is incomplete in any way , and
- the benefit at issue is pension.
Exceptions:
- Do not treat a form as incomplete, for the purpose of requiring development, if a claimant fails to provide
- the name of the State in which an event (such as the birth of a child or a marriage) took place, when the city in which the event took place is well-known (such as Atlanta or Chicago)
- required information (such as the date of birth) on the form, when the missing information is shown on documentary evidence (such as a birth certificate) the claimant submits in support of the claim, or
- the last name of the current spouse.
- If the incomplete form is a September 2018 or later version of VA Form 21-686c,
- disregard the instructions in the table below, and
- follow the instructions in M21-1, Part VII, Subpart i, 1.A.6.d.
- If the form the claimant submitted requires the claimant to provide the number of prior marriages for the spouse, do not treat the form as incomplete if the claimant fails to provide the number, unless
- there is reason to question the number of prior marriages the claimant and spouse had
- there is a conflict regarding the marital history the claimant reported that having the number of prior marriages would resolve, or
- there is a reasonable indication of fraud or misrepresentation of the relationship in question.
Important: The instructions in the table below were written based on an assumption the claimant has a running award. If the claimant does not have a running award, but a claim for pension is pending,
- stop at Step 3 of the table below, and
- follow the instructions in M21-1, Part VII, Subpart i, 1.A.6.c.
| Step | Action |
|---|---|
| 1 | Is the form substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f?
|
| 2 | Establish EP control based on the benefit claimed, unless the appropriate EP is already pending. |
| 3 | Attempt to obtain any missing evidence/information from the claimant by telephone. |
| 4 | Were attempts to obtain the missing evidence/information by telephone successful?
Notes:
|
| 5 | Did the claimant fail to provide information regarding a dependent’s income?
|
| 6 | Clear the pending EP and establish EP 600. |
| 7 |
Note: Follow the instructions in M21-1, Part X, Subpart ii, 3.B.3, if the claimant requests a hearing in response to the notice of proposed adverse action. |
| 8 | Did the claimant provide the missing income information?
|
| 9 |
Note: When preparing the decision notice,
|
| 10 | Does sufficient evidence/information exist to allow VA to add all claimed dependent(s) to the claimant’s award?
|
| 11 | Does sufficient evidence/information exist to allow VA to add to the claimant’s award at least one of the dependents listed on the form?
|
| 12 |
Exception: Do not include the income of a claimed dependent who is an individual, such as a parent or unadopted grandchild, that VA does not consider a dependent for pension purposes. Reference: For more information on the instructions contained in this step, see M21-1, Part IX, Subpart iii, 1.F.2.h. |
| 13 |
Important : The letter must
|
| 14 | Add a tracked item for the missing evidence/information. |
| 15 |
|
| 16 |
|
Important: If a dependent was not added to a claimant’s award because the claimant failed to provide the evidence/information VA requested,
- inform the claimant that unless VA receives the missing evidence/information within one year of the decision notice, VA cannot add the child to the claimant’s award based on the present claim, and
- instruct the claimant to complete VA Form 20-0995 and return it with the missing information.
Reference: For more information on notifying claimants of a VA decision, see M21-1, Part VI, Subpart i, 1.B.
VII.i.1.A.6.cHandling an Incomplete Form When Entitlement to Pension Has Not Been Established but a Claim Is Pending
After taking the action described in Step 3 of the table in M21-1, Part VII, Subpart i, 1.A.6.b, follow the instructions in the table below if entitlement to pension has not been established but a claim is pending.
| Step | Action |
|---|---|
1 | Were attempts to obtain missing evidence/information from the claimant by telephone successful?
Note : Follow the instructions in M21-1, Part III, Subpart i, 2.D.1.e, for documenting attempts to obtain evidence/information by telephone. |
2 | Does basic entitlement to pension exist?
Note: There is no need to address in a decision notice the issue of entitlement to benefits for dependents if basic entitlement to pension does not exist. |
3 | Determine whether the claimant is entitled to benefits for claimed dependents. |
4 |
|
5 |
|
6 | Does basic entitlement to pension exist?
Note: There is no need to address in a decision notice the issue of entitlement to benefits for dependents if basic entitlement to pension does not exist. |
7 | Did the claimant provide the missing evidence/information?
|
8 | Follow the instructions in the table below. If … Then … |
information regarding a dependent’s income is missing |
|
any other evidence/information required to add a dependent is missing |
|
9 | Determine whether the claimant is entitled to benefits for the claimed dependent(s). |
10 | Notify the claimant of the decisions regarding entitlement to
|
Important: If VA denies entitlement to benefits because the claimant failed to provide the evidence/information VA requested,
- inform the claimant that unless VA receives the missing evidence/information within one year of the decision notice, VA cannot pay benefits based on the present claim, and
- instruct the claimant to complete VA Form 20-0995 and return it with the missing evidence/information.
Reference: For more information on preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
VII.i.1.A.6.dHandling a September 2018 or Later Version of VA Form 21-686c That Is Incomplete – Pension
Follow the steps in the table below when
- VA receives a September 2018 or later version of VA Form 21-686c that is incomplete in any way , and
- the benefit at issue is pension.
Important:
- In those rare instances when VA Form 21-686c does not ask the claimant for all the evidence/information VA requires to add a claimed dependent to the claimant’s award, and such evidence/information is missing,
- disregard the instructions in the table below, and
- follow the instructions in the applicable row of the table in M21-1, Part VII, Subpart i, 1.A.6.a.
- The instructions in the table below were written based on an assumption the claimant has a running award. If basic entitlement to pension has not been established, but a claim for pension is pending, take only the actions described in Step 1 and (if applicable) Step 2 of the table below.
If decision makers ultimately determine basic entitlement to disability or survivor pension exists,
- disregard the remaining instructions in the table below, and
- follow the instructions in M21-1, Part VII, Subpart i, 1.A.6.e.
| Step | Action |
|---|---|
| 1 | Is the VA Form 21-686c substantially complete, as defined in M21-1, Part I, Subpart i, 1.A.4.f?
|
| 2 | Establish EP control based on the benefit claimed, unless the appropriate EP is already pending. |
| 3 | Is the form incomplete by virtue of the fact that the claimant failed to submit the proper income reporting form that VA Form 21-686c instructs the claimant to provide?
Note : If the claimant submitted a VA Form 21P-0516-1, Improved Pension Eligibility Verification Report (Veteran With No Children) , or VA Form 21P-0517-1, Improved Pension Eligibility Verification Report (Veteran With Children) , but failed to provide all the income/net worth information the form requires, go to the next step. |
| 4 | Make one attempt to obtain missing income/net worth information from the claimant by telephone.Important : Follow the instructions in M21-1, Part III, Subpart i, 2.D.1.e, for documenting successful and unsuccessful attempts to obtain information from a claimant by telephone. |
| 5 | Was the missing income/net worth information obtained from the claimant by telephone?
|
| 6 | Clear the pending EP and establish EP 600. |
| 7 |
Note: Follow the instructions in M21-1, Part X, Subpart ii, 3.B.3, if the claimant requests a hearing in response to the notice of proposed adverse action. |
| 8 | Did the claimant provide the missing income/net worth information?
|
| 9 |
Note: When preparing the decision notice,
|
| 10 | Does sufficient evidence/information exist to allow VA to add all claimed dependent(s) to the claimant’s award?
|
| 11 | Does sufficient evidence/information exist to allow VA to add to the claimant’s award at least one of the dependents listed on the form?
|
| 12 | Deny the claim but include the income of unestablished dependent(s) when calculating the claimant’s IVAP. Exception: Do not include the income of a claimed dependent who is an individual, such as a parent or unadopted grandchild, that VA does not consider a dependent for pension purposes. Reference: For more information on the instructions contained in this step, see M21-1, Part IX, Subpart iii, 1.F.2.h. |
| 13 |
Important:
|
| 14 |
Exception: Do not include the income of a claimed dependent who is an individual, such as a parent or unadopted grandchild, that VA does not consider a dependent for pension purposes. Reference: For more information on the instructions contained in this step, see M21-1, Part IX, Subpart iii, 1.F.2.h. |
| 15 | Notify the claimant of the action taken. Important:
|
Reference: For more information on notifying claimants of a VA decision, see M21-1, Part VI, Subpart i, 1.B.
VII.i.1.A.6.eHandling a September 2018 or Later Version of VA Form 21-686c That Is Incomplete When Basic Entitlement to Pension Exists but No Award Is Running
Follow the instructions in the table below if
- no award is currently running, but VA has determined basic entitlement to pension exists, and
- the claimant submitted a September 2018 or later version of VA Form 21-686c that is substantially complete but lacks the evidence/information VA requires to add the claimed dependent(s) to the claimant’s award.
Important : In those rare instances when VA Form 21-686c does not ask the claimant for all the evidence/information VA requires to add a claimed dependent to the claimant’s award, and such evidence/information is missing,
- disregard the instructions in the table below, and
- follow the instructions in the applicable row of the table in M21-1, Part VII, Subpart i, 1.A.6.a.
| Step | Action |
|---|---|
| 1 | Is the form incomplete by virtue of the fact that the claimant failed to submit the proper income reporting form that VA Form 21-686c instructs the claimant to provide?
Note : If the claimant submitted a VA Form 21P-0516-1 or VA Form 21P-0517-1 but failed to provide all the income/net worth information the form requires, go to the next step. |
| 2 | Make one attempt to obtain missing income/net worth information from the claimant by telephone.Important : Follow the instructions in M21-1, Part III, Subpart i, 2.D.1.e, for documenting successful and unsuccessful attempts to obtain information from a claimant by telephone. |
| 3 | Was the missing income/net worth information obtained from the claimant by telephone?
|
| 4 | Deny the claim for pension. |
| 5 |
Important:
|
| 6 | Determine whether the claimant’s IVAP exceeds the maximum annual pension rate (MAPR).
Exception: Do not include the income of a claimed dependent who is an individual, such as a parent or unadopted grandchild, that VA does not consider a dependent for pension purposes. Reference: For more information on the instructions contained in this step, see M21-1, Part IX, Subpart iii, 1.F.2.h. |
| 7 | Does the claimant’s IVAP exceed the MAPR?
|
| 8 | Deny the claim for pension. |
| 9 |
Important:
|
| 10 | Award pension. |
| 11 | Notify the claimant of the decision. Important:
|
Reference: For more information on notifying claimants of a VA decision, see M21-1, Part VI, Subpart i, 1.B.
7Requirement for Disclosure of SSNs to VA
This topic contains information about the requirement that beneficiaries and claimants disclose to VA their SSN and the SSNs of dependents, including
- regulatory basis for requiring disclosure of SSNs
- why SSNs are important to VA
- nonresident aliens without SSNs
- relevance of the assignment of an individual tax identification number (ITIN)
- guidelines for requesting an SSN from a beneficiary or claimant
- requirement for an SSN for children
- determing the credibility of a statement that no SSN has been assigned or requested, and
- action to take following receipt of notice that no SSN has been assigned or requested.
Revised March 13, 2025
VII.i.1.A.7.aRegulatory Basis for Requiring Disclosure of SSNs
38 CFR 3.216 requires beneficiaries and claimants to disclose to VA their Social Security number (SSN) and the SSNs of dependents as a condition of receiving or continuing to receive compensation or pension. Important:
- 38 CFR 3.216 does not require beneficiaries, claimants, or dependents to obtain an SSN to receive VA benefits if no SSN has been assigned.
- If an SSN has neither been assigned to nor requested for an individual, the claimant or beneficiary must attest to this fact in a certified statement.
- Neither a certified statement nor further development to obtain an SSN is necessary if a claimant or beneficiary indicates no SSN has been assigned to an individual because the individual is a nonresident alien, as referenced in M21-1, Part VII, Subpart i, 1.A.7.c.
Reference: For more information on the certified statement referenced in this block, see M21-1, Part VII, Subpart i, 1.A.7.g.
VII.i.1.A.7.bWhy SSNs Are Important to VA
SSNs enable VA to conduct data exchanges with other agencies. These data exchanges
- provide VA with important information, such as verified Social Security income
- allow VA to conduct independent verification of a claimant’s income using Federal tax information, and
- help minimize overpayments.
VII.i.1.A.7.cNonresident Aliens Without SSNs
Many nonresident aliens do not have SSNs, and VA does not require an SSN to be obtained. Accordingly, it is unnecessary to request an SSN (or a certified statement indicating that no SSN has been assigned or requested) for an individual who
- has no SSN
- is not a U.S. citizen, and
- resides outside
- the U.S.
- the Commonwealth of Puerto Rico
- the Virgin Islands
- American Samoa
- Guam, or
- the Northern Marianas.
VII.i.1.A.7.dRelevance of the Assignment of an ITIN
Upon receipt of notice that an individual with no SSN has an individual tax identification number (ITIN), make no further attempts to obtain
- that individual’s SSN, or
- a certified statement that no SSN has been requested for or assigned to that individual.
Note: The assignment of an ITIN to an individual by the Internal Revenue Service is an indication that
- no SSN has been assigned to that individual, and
- that individual is not eligible for an SSN.
VII.i.1.A.7.eGuidelines for Requesting an SSN From a Beneficiary or Claimant
Follow the instructions in the table below for requesting an SSN from a beneficiary or claimant.
| If ... | Then ... |
|---|---|
a claimant failed to provide an SSN on an application for benefits, to include those listed in M21-1, Part II, Subpart iii, 1.A.1.a | follow the instructions in the table below. If … Then …
|
a dependent’s SSN is missing | follow the instructions in
Note: If a claimant has requested the assignment of an SSN, but the Social Security Administration (SSA) has not yet provided one,
|
VA requires an SSN for an individual to or for whom VA is already paying benefits | attempt to obtain the missing SSN by telephone. If the SSN must be requested by letter,
|
Notes:
-
Follow the due process procedures discussed in M21-1, Part I, Subpart i, 1.B, before reducing or discontinuing an award because a beneficiary failed to provide VA with an SSN.
-
Per 38 CFR 3.500(w), the effective date of a reduction in or discontinuance of an award because a beneficiary failed to provide an SSN is the last day of the month (first day of the month for award-adjustment purposes) following a 60-day period that begins on the date VA requested the SSN.
VII.i.1.A.7.fRequirement for an SSN for Children
Beneficiaries/claimants must provide an SSN (or a certified statement that no SSN has been assigned or requested) for all children, regardless of
- a child’s age, or
- whether the child is the claimant or a dependent.
VII.i.1.A.7.gDetermining the Credibility of a Statement That No SSN Has Been Assigned or Requested
Absent evidence to the contrary, accept as credible a statement from a beneficiary or claimant that no SSN has been assigned or requested, unless the individual who reportedly has no SSN
- receives Social Security or other Federal benefits, or
- has an account at a bank or other financial institution.
When the conditions described in the above bullets exist, follow the instructions in the table below. Important:
- Oral certification that no SSN has been assigned or requested is acceptable only if the individual who reportedly has no SSN is a non-resident alien, as referenced in M21-1, Part VII, Subpart i, 1.A.7.c. In all other cases, a written and signed statement from the claimant or beneficiary is required.
- Beneficiaries/claimants may submit the certified statement referenced in this block electronically, in person, or by mail.
| Step | Action |
|---|---|
| 1 | Is VA already paying benefits to or for the individual who reportedly has no SSN?
|
| 2 | Issue notice of proposed adverse action to the beneficiary. In the notice,
Reference: For more information on issuing notice of proposed adverse action, see M21-1, Part X, Subpart ii, 3.A. |
| 3 | Did the beneficiary provide the statement from SSA within 65 days of the date of the notice of proposed adverse action?
Important : When preparing the decision notice referenced in the preceding bullet,
|
| 4 | Ask the claimant to furnish a statement from SSA confirming that SSA has not assigned an SSN to the individual in question. Allow the claimant 30 days to respond. |
| 5 | Did the claimant provide the statement from SSA within 30 days?
|
Important : When preparing the decision notice referenced in the preceding bullet,
- inform the claimant that unless VA receives the statement from SSA within one year of the decision notice, VA cannot award benefits based on the present claim, and
- instruct the claimant to complete VA Form 20-0995 and return it with the statement.
Reference: For more information on preparing decision notices, see M21-1, Part VI, Subpart i, 1.B.
VII.i.1.A.7.hAction to Take Following Receipt of Notice That No SSN Has Been Assigned or Requested
Follow the instructions in the table below following receipt of notice that no SSN has been assigned to or requested for a beneficiary or a dependent.
| If no SSN was assigned to or requested for a ... | Then update the corporate record by ... |
|---|---|
| Veteran |
|
8Medical Records That Reveal the Existence of a Dependent That Is Not on a Veteran’s Award
This topic contains information about medical records that reveal the existence of a dependent that is not on a Veteran’s award, including
- action to take when medical records reveal the existence of a dependent that is not on a Veteran’s award, and
- assigning an effective date based on information about dependents that VA discovers in medical records.
Revised February 15, 2022
VII.i.1.A.8.aAction to Take When Medical Records Reveal the Existence of a Dependent That Is Not on a Veteran’s Award
Review of a Veteran’s medical records will occasionally reveal the existence of a spouse or child that has not been added to a Veteran’s award. Upon discovering such information, follow the instructions in the table below. Important: RO employees should not routinely review medical records for the sole purpose of identifying dependents that have not been added to a Veteran’s award.
| Step | Action |
|---|---|
| 1 | Is the Veteran receiving pension, or does the Veteran have an overall disability rating of at least 30 percent?
|
| 2 | Send the Veteran VA Form 21-686c for completion. Important: If the Veteran is receiving pension,
|
VII.i.1.A.8.bAssigning an Effective Date Based on Information About Dependents That VA Discovers in Medical Records
When a Veteran returns the VA Form 21-686c that VA sent in accordance with the instructions in M21-1, Part VII, Subpart i, 1.A.8.a, determine whether VA may recognize the individual named on the form as the Veteran’s dependent. If VA can recognize as a dependent the individual named on the form, add the individual to the Veteran’s award effective the earlier of the following dates:
- the first of the month following the month VA received the signed and completed VA Form 21-686c, or
- the first of the month following the date of the event that allowed the Veteran to add a dependent to the award if the Veteran submitted a signed and completed VA Form 21-686c within one year of that date.
Example: An “event,” for the purpose of this block, might include
- marriage
- birth of a child, or
- the assignment of an overall SC disability rating of at least 30 percent.
Reference: For more information on determining the proper effective date for adding a dependent to a Veteran’s award, see
- M21-1, Part VII, Subpart i, 1.C.2 (awards of disability compensation only), and
- 38 CFR 3.401(b).
End of Part VII, Subpart i, Chapter 1, Section A